Book Order Form
(Print this form and mail with payment to the listed address to order your book)

Rescue of River City

 

Mail Payment to:

Drew Dix
HC 68, Box 70
Membres, NM 88049

Please remit $25.95 plus $3.95 postage and handling for each book ordered.

 

Your Name:  _______________________________________________

Address:  __________________________________________________

City: ____________________________  State: _________ Zip: __________

Phone: (_____)  ________________________________

Number of Books Ordered:  ______________________

If you wish your book autographed, please indicate how you want it signed:

To Whom?  _________________________________________

Other Instructions: _________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

If you are purchasing multiple copies and wish them mailed to friends or relatives as gifts, please detail mailing addresses and autograph information on a separate piece of paper.